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Updated: Feb 12, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Management based on grading of animation deformity following implant-based subpectoral breast reconstruction
Raghavan Vidya1, Habib Tafazal2, Fathi Salem1
1Department of Breast Surgery, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.
Abstract:
Subpectoral breast reconstruction using implants and meshes have been used widely in Europe, the United States and the United Kingdom. Although this technique has several advantages, animation deformity is a well-documented problem. We propose a new grading system to classify breast animation in patients undergoing subpectoral implant based breast reconstruction. We also discuss different techniques to avoid and correct animation deformity.
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